An Exploratory Study Of Child Obesity Concerns Among African American Children And Parents

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An Exploratory Study of Child Obesity Concerns Among African-American Children and Parents

Author : Karla E. Bailey
Publisher :
ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.:/5 (539 download)

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Book Synopsis An Exploratory Study of Child Obesity Concerns Among African-American Children and Parents by : Karla E. Bailey

Download or read book An Exploratory Study of Child Obesity Concerns Among African-American Children and Parents written by Karla E. Bailey and published by . This book was released on 2009 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is reaching epidemic levels in the United States with current prevalence rates at more than three times the "Healthy People 2000" goal. African Americans, other minorities, and low SES populations are disproportionately affected, and the adverse cardiovascular, respiratory and endocrine health implications typically associated with adult obesity are now evident in children. Developing effective child obesity communication messages and interventions to reach African Americans is critical if the prevalence trends and health disparities are to be reversed. This exploratory study sought to add to the literature by examining the knowledge, attitudes, and behaviors of an indicated group of young overweight African American children and their parents, and by better describing their felt experience. Principles of community psychology informed the philosophy and implementation of the study, as resulting guidance for community-based interventions was sought. This area of psychology also offers a collaborative approach to entering and working with communities, such as African Americans, who have shown suspicion to traditional research and also in this instance may not be motivated for change. Eighteen subjects participated in separate parent and child focus groups, and the data were analyzed using Strauss and Corbin's (1998) grounded theory method. Nine key qualitative themes and directional implications from a parent survey are described in the results. Additionally, in order to understand clinical implications, two hybridized case studies representing prototypical client presentations were developed from the data and analyzed using Fishman's (1999) pragmatic case study method. The cases represent a client who might be more responsive to intervention and one whose clinical presentation and situational characteristics suggest more barriers to treatment. A detailed case comparison further explicates attendant factors that are likely to affect communication messages, outreach, and treatment outcome with these types of clients. Study limitations are discussed, and the report concludes with implications for future community-based research and treatment, specifically with African Americans.

African American Fathers' Perceptions of Childhood Overweight

Author : Vanessa Michelle Byrd
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (781 download)

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Book Synopsis African American Fathers' Perceptions of Childhood Overweight by : Vanessa Michelle Byrd

Download or read book African American Fathers' Perceptions of Childhood Overweight written by Vanessa Michelle Byrd and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood overweight/obesity (CHO) is a serious health concern for children and adolescents. Despite increased efforts to prevent CHO, prevalence rates have actually increased. Evidence suggests that parents are critical to successful interventions to reduce CHO among children. While research efforts aimed at parental inclusion have increased, limited research has been conducted to investigate fathers' perception of CHO, or their influences on their children's health. The objective of this two-phase study was to answer three research questions: a) How does the extant literature operationalize African American parental perceptions of childhood overweight/obesity? b) What are African American fathers' perceptions of CHO? and c) How do African American fathers perceive CHO in relation to their own child's weight status? Evidence-based studies reveal that fathers have the potential to play a significant role in CHO prevention. Phase one (literature review) revealed that published studies on parental perception of CHO either exclude fathers, include them only in data collection, and/or report no results specific to paternal perception. Thus, an exploratory qualitative study was needed to explore African American fathers' perceptions of CHO. In phase two (qualitative study), four fathers were interviewed about their perceptions of CHO and how they contextualize this problem. The results indicated fathers believe that weight categories are racially & culturally insensitive and do not account for individual health status or differences in body/bone structure, and that parents with overweight children are financially disadvantaged, irresponsible and overworked. Fathers also indicated that colloquial terms (e.g., chunky, husky, big-boned, thick) were commonly substituted medical definitions for overweight and that child/teen sports participation was motivated by health, as well as non-health related benefits (e.g., competitiveness, educational scholarships). Further, fathers' identification of CHO is subjective and includes visual means and parental assessment of health status (e.g., child mobility/activity levels). Implications of this study are that additional studies are needed to clarify fathers' roles in CHO and that future studies should consider complex familial structures, as well as reframe prevention efforts to focus on optimal child health as opposed to weight labeling and focusing on parents' accuracy in identifying weight categories.

Childhood Obesity Prevention

Author : Jennifer A. O'Dea
Publisher :
ISBN 13 : 0199572917
Total Pages : 447 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Childhood Obesity Prevention by : Jennifer A. O'Dea

Download or read book Childhood Obesity Prevention written by Jennifer A. O'Dea and published by . This book was released on 2010 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is an international public health concern, with a high profile in both the media and government policy. Controversial issues in the prevention of childhood obesity need to be considered early in the development of school, clinical or community prevention programs, as these issues are often the ones that promote the success or failure of attempts to ameliorate the problem at hand. This book combines health education theory, research, and practice to guide researchers, students, educators, community health workers and practitioners in the prevention of childhood obesity and the promotion of child and adolescent health and well-being. It examines controversy in childhood obesity, including the link with poverty and the difficulty of addressing obesity whilst also tackling the issue of eating disorders. The prevalence of childhood obesity is covered, with international chapters examining the importance of factors such as social class and ethnic differences, and global and local trends are identified. Approaches to prevention are presented, and the book concludes with the successful outcome of various interventions, demonstrating how the whole school community can collaborate to promote health among young people.

Associations Among African American Parent Education, Perceptions, Behaviors, and Child Weight Status

Author : Tracey Marie Barnett
Publisher :
ISBN 13 :
Total Pages : 144 pages
Book Rating : 4.:/5 (93 download)

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Book Synopsis Associations Among African American Parent Education, Perceptions, Behaviors, and Child Weight Status by : Tracey Marie Barnett

Download or read book Associations Among African American Parent Education, Perceptions, Behaviors, and Child Weight Status written by Tracey Marie Barnett and published by . This book was released on 2015 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Obesity in children and adolescents is a worldwide epidemic that is anticipated to worsen over time (Budd & Volpe, 2006; Chatterjee, Blakely, & Barton, 2005; Hossain, Kawar, & El Nahas, 2007). Within the past 30 years, the prevalence of childhood obesity in the United States has more than doubled among children and quadrupled in adolescents (Ogden, Carroll, Kit, & Flegal, 2014). People often have inaccurate perceptions of their body size and weight status and this may play a key role in the prevalence of obesity especially for ethnic minorities (Gillard, Lackland, Mountfored, & Egan, 2007; Hendley, et al., 2011). In order to combat child obesity, it is imperative for future research to explore the phenomenon of parent education, behaviors, perceptions and the impact on child weight status within a strong theoretical conceptual model. The purpose of this dissertation is to build a theoretical conceptual model and testable model to understand the associations among African American parent education, behaviors, and perceptions of their child's body size and the impact on their child's weight status. Methods: The School Physical Activity and Nutrition survey (SPAN) was developed using a repeated cross-sectional study design to estimate changes in body mass index (BMI) by three major racial/ethnic groups (African Americans, Hispanics, and whites/others) in Texas public school children (Hoelscher, Day, Lee, Frankowski, Kelder, Ward & Scheurer, 2003). For this study, only African American 4th grade students (n=372) and their parents (n=372) will be used. Data analyses included descriptive statistics, multiple regression, moderation, and mediation analysis. Results: Findings suggest that a parent's level of education had a direct impact on health knowledge and discrimination. Parent perceptions of their child's body size was directly associated with child weight status, but parent weight status moderated this relation. The number of children living in the home had a direct impact socioeconomic status (SES), SES had a direct impact on stress, and stress had a direct impact on parenting rules and discipline. The more physical activity parents did with their children, the lower their child's weight status, however, parent weight status mediated this relation. Lastly, as the consumption of more healthy foods increased, so did the child's weight status. Implications: The findings of this study offer a comprehensive picture of how parent education, perceptions and behaviors impact child weight status. These results highlight suggested areas that may be used by social work practitioners, researchers, and policy makers when working African American parents and their children. This study also suggests a final robust theoretical conceptual model of theory and evidence-based literature to guide future research.

Preventing Childhood Obesity

Author : Elizabeth Waters
Publisher : John Wiley & Sons
ISBN 13 : 1444359290
Total Pages : 459 pages
Book Rating : 4.4/5 (443 download)

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Book Synopsis Preventing Childhood Obesity by : Elizabeth Waters

Download or read book Preventing Childhood Obesity written by Elizabeth Waters and published by John Wiley & Sons. This book was released on 2011-08-24 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity is one of the biggest public health challenges in the 21st century. Devising effective policy and practice to combat childhood obesity is a high priority for many governments and health professionals internationally. This book brings together contributors from around the world and showcases the latest evidence-based research on community and policy interventions to prevent unhealthy weight gain and improve the health and well-being of children. The authors highlight from the evidence available what is and what is not effective and provide recommendations on how to implement and evaluate promising interventions for obesity prevention. This book is an essential read for all public health practitioners, early childhood professionals, health care providers and clinicians working to reduce the prevalence of childhood obesity in their communities.

Understanding Childhood Obesity

Author : J. Clinton Smith
Publisher : Univ. Press of Mississippi
ISBN 13 : 9781578061334
Total Pages : 182 pages
Book Rating : 4.0/5 (613 download)

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Book Synopsis Understanding Childhood Obesity by : J. Clinton Smith

Download or read book Understanding Childhood Obesity written by J. Clinton Smith and published by Univ. Press of Mississippi. This book was released on 1999 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: A clear explanation of causes, diagnosis, and treatment of childhood obesity

Childhood Obesity

Author : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Subcommittee on Children and Families
Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis Childhood Obesity by : United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Subcommittee on Children and Families

Download or read book Childhood Obesity written by United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Subcommittee on Children and Families and published by . This book was released on 2010 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Perceptions of Weight-related Health in African American Families

Author : Amy Kristen Foster
Publisher :
ISBN 13 :
Total Pages : 384 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Perceptions of Weight-related Health in African American Families by : Amy Kristen Foster

Download or read book Perceptions of Weight-related Health in African American Families written by Amy Kristen Foster and published by . This book was released on 2009 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Obesity in Childhood and Adolescence: Medical, biological, and social issues

Author : Hiram E. Fitzgerald
Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Obesity in Childhood and Adolescence: Medical, biological, and social issues by : Hiram E. Fitzgerald

Download or read book Obesity in Childhood and Adolescence: Medical, biological, and social issues written by Hiram E. Fitzgerald and published by . This book was released on 2008 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pt. 1. Social and behavioral development :; Risk factors for obesity in early human development /; John Worobey --; Role of physical activity in obesity prevention /; James M. Pivarnik --; Childhood overweight and academic achievement /; Sara Gable, Jnnifer L. Krull, Arathi Srikanta --; Adiposiy and internalizing problems: infancy to middle childhood /; Robert H. Bradley, Renate Houts, Phillip R. Nader, Marion O'Brien, Jay Belsky, and Robert Crosnoe --; Food marketing goes online: A content analysis of web sites for children /; Elizabeth S. Moore --; Families and obesity: a family process approach to obesity in adolescents /; Matthew P. Thorpe, Randal D. Day ;; Pt. 2. Individual differeces and ethnic variation :; Responding to the epidemic of American Indian and Alaska Native childhood obesity /; Paul Spicer, Kelly Moore --; Obesity in African Americans and Latino Americans /; Helen D. Pratt, Manmohan Kamboj, Robin Joseph ;; Pt. 3. Prevention and intervention :; Managing the overweight child /; Ihuoma Eneli, Karah Daniels Mantinan --; Parents as the primary target for healthy eating among young children /; Mildred A. Horodynski, Kami J. Silk, Michelle Henry --; Surgical treatment for obesity /; Jeff M. Gauvin --; Ethical considerations related to obesity intervention /; Leonard M. Fleck, Karen A. Petersmarck.

Progress in Preventing Childhood Obesity

Author : National Academies
Publisher : National Academies Press
ISBN 13 : 0309101409
Total Pages : 36 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Progress in Preventing Childhood Obesity by : National Academies

Download or read book Progress in Preventing Childhood Obesity written by National Academies and published by National Academies Press. This book was released on 2006-03-28 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: The nation faces a growing epidemic of childhood obesity that threatens the immediate health of our children and their prospects of growing up healthy into adulthood. During the past 30 years, obesity in the United States has more than doubled among young children aged 2-5 years and adolescents aged 12-19 years, and it has more than tripled among youth aged 6-11 years. Currently, more than 9 million children 6 years of age and older are considered to be obese. The sequelae of obesity among children and youth are also rapidly increasing, including an increased risk of type 2 diabetes, hypertension, metabolic syndrome, asthma, and social and psychological consequences including low self-esteem and depression. To develop a prevention-focused action plan to reduce the number of obese children and youth in the United States, the Institute of Medicine organized three regional symposia, and held its second regional symposium in Atlanta, Georgia on October 6-7, 2005. Progress in Preventing Childhood Obesity: Focus on Communities highlights the recurring themes that emerged from the symposium for accelerating change and moving forward with obesity prevention efforts: empower communities and neighborhoods, change the environment, forge strategic partnerships, garner and mobilize political support, educate stakeholders, identify leaders and build on cultural assets, collect and disseminate local data, evaluate programs and interventions, and translate successful interventions to other communities. Approximately 90 individuals active in childhood obesity prevention efforts in the southeastern region of the United States who represented a range of stake holder perspectives and innovative practices in local communities including students, community leaders, physicians, health educators, clergy, teachers, and state and federal government officials were invited to participate in the symposium. The contents of this summary reflect specific examples presented and discussed during the symposium, and unless otherwise noted, the general perspectives of the participants. This summary, along with two other symposia summaries, and a more detailed discussion of insights and regional examples, will be incorporated in the IOM committee's final report on progress in preventing childhood obesity that will be released in the fall of 2006.

An Evaluation of African American Fathers' Perceptions and Influences on Child Food Choices and Physical Activity Behaviors

Author : Valerie Annette Richardson
Publisher :
ISBN 13 :
Total Pages : 162 pages
Book Rating : 4.:/5 (964 download)

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Book Synopsis An Evaluation of African American Fathers' Perceptions and Influences on Child Food Choices and Physical Activity Behaviors by : Valerie Annette Richardson

Download or read book An Evaluation of African American Fathers' Perceptions and Influences on Child Food Choices and Physical Activity Behaviors written by Valerie Annette Richardson and published by . This book was released on 2016 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: Child obesity is affecting children's health nationwide. Rates are highest among African Americans (AA) in the South. Research has explored parents' influence on child eating and activity, but most has reported on mothers' influences. The purpose of this research was to investigate perceptions about AA fathers' influences on their children's eating and physical activity. Using a structured focus group questionnaire based on the parent layer constructs of Birch and Ventura's Ecological Model for Child Overweight (2009), four focus groups were conducted with 28 AA fathers with children 6- to 11- years-old in a rural and an urban church setting in southeast Louisiana. Data was coded using deductive content analysis and a matrix based on model constructs. Most fathers were knowledgeable about healthy eating but indicated that fathers' typical focus in feeding their children was simply making sure they were not hungry. Cultural food preferences influenced rural fathers' diets more than urban, but both groups agreed that their children's diets were more influenced by the fast food environment. Fathers were involved with food shopping, with food preferences, health, and cost affecting their food purchases. Most affirmed providing support for their children's physical activity and monitoring their children's screen time as important. Participants believed that AA fathers intensely influence their children, especially boys, in many aspects of their lives, including eating and physical activity. Fathers stated that study participation made them more aware of their responsibility and potential influences on their children's eating and physical activity habits, and of the importance of role modeling and educating their children about healthy lifestyles, so that their children did not experience the burden of chronic disease typical for their own generation. Findings suggest the relevance of the parent constructs of the Child Overweight Ecological Model to the population of interest and support a body of literature indicating that fathers should be an intervention focus. Future research should explore AA fathers' knowledge and practices related to child feeding, the specific ways in which they provide support for children's activity and monitor sedentary behavior, and ways to support fathers' role modeling of healthy eating and physical activity. --Page ii.

Exploring Child Obesity Among African Americans Through the Eyes of Parents

Author : TyYendra VyOnn Moore
Publisher :
ISBN 13 :
Total Pages : 160 pages
Book Rating : 4.:/5 (696 download)

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Book Synopsis Exploring Child Obesity Among African Americans Through the Eyes of Parents by : TyYendra VyOnn Moore

Download or read book Exploring Child Obesity Among African Americans Through the Eyes of Parents written by TyYendra VyOnn Moore and published by . This book was released on 2009 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to explore African American parents' knowledge about child obesity and the various external factors they perceive contribute to their own child's weight problems.

Childhood Obesity

Author : Kristin Voigt
Publisher : Oxford University Press
ISBN 13 : 0199964491
Total Pages : 273 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Childhood Obesity by : Kristin Voigt

Download or read book Childhood Obesity written by Kristin Voigt and published by Oxford University Press. This book was released on 2014-03-28 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity has become a central concern in many countries and a range of policies have been implemented or proposed to address it. This co-authored book is the first to focus on the ethical and policy questions raised by childhood obesity and its prevention. Throughout the book, authors Kristin Voigt, Stuart G. Nicholls, and Garrath Williams emphasize that childhood obesity is a multi-faceted phenomenon, and just one of many issues that parents, schools and societies face. They argue that it is important to acknowledge the resulting complexities and not to think in terms "single-issue" policies. After first reviewing some of the factual uncertainties about childhood obesity, the authors explore central ethical questions. What priority should be given to preventing obesity? To what extent are parents responsible? How should we think about questions of stigma and inequality? In the second part of the book, the authors consider key policy issues, including the concept of the 'obesogenic environment,' debates about taxation and marketing, and the role that schools can play in obesity prevention. The authors argue that political debate is needed to decide the importance given to childhood obesity and how to divide responsibilities for action. These debates have no simple answers. Nonetheless, the authors argue that there are reasons for hope. There are a wide range of opportunities for action. Many of these options also promise wider social benefits.

Preventing Childhood Obesity

Author : Dayna S. Alexander
Publisher :
ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.:/5 (88 download)

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Book Synopsis Preventing Childhood Obesity by : Dayna S. Alexander

Download or read book Preventing Childhood Obesity written by Dayna S. Alexander and published by . This book was released on 2014 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Preventing childhood obesity is a global priority due to adverse health risks and financial burdens. With childhood obesity rates stabilizing it is difficult to determine which factors alone (i.e., genetic, environmental, behavioral, or demographic) increase susceptibility to childhood obesity. Parents influence childhood obesity risk factors through their parenting styles and behaviors. Social behavioral theories and public health evidence demonstrate including parents in childhood obesity efforts could assist in reducing childhood obesity rates. The objective of this study was to assess perceptions of childhood obesity among African Americans with children enrolled in a rural elementary school in the Deep South. The concurrent mixed methods study utilized a fifty-nine item questionnaire and fourteen semi-structured interview guide to collect information on perceptions of risk factors, health complications, weight status of the child, the built environment, and prevention strategies. Using a convenience sample, participants ages 22-65, completed a paper-based survey (n=135) and participated in a face-to-face interview (n=12). Descriptive statistics were obtained from the surveys. A six-step process was used for qualitative analysis. Participants commonly cited behavioral risk factors as a contributing cause of childhood obesity; yet, they did not believe social aspects and appearance of the community were contributing factors. Also diabetes, hypertension, and stroke were health complications reported by participants. Analysis of the surveys and interviews revealed that participants assessed their child's weight and height status by child's appearance or the child's recent doctor visit. In addition, few participants had a distorted view of their child's weight status. Barriers reported by participants included safety and insufficient physical activity venues and programs. Furthermore, participants believed parents played a vital role in the prevention of childhood obesity. Findings suggest that programs and interventions would be effective by focusing on parental concerns in rural communities. In addition, engaging parents in the design, implementation, and evaluation of these efforts would be beneficial. Obesity prevention efforts must address parent's individual choices, lifestyles, and the external environment of the rural community.

Handbook of Mental Health in African American Youth

Author : Alfiee M. Breland-Noble
Publisher : Springer
ISBN 13 : 3319255010
Total Pages : 337 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Handbook of Mental Health in African American Youth by : Alfiee M. Breland-Noble

Download or read book Handbook of Mental Health in African American Youth written by Alfiee M. Breland-Noble and published by Springer. This book was released on 2016-01-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook fills major gaps in the child and adolescent mental health literature by focusing on the unique challenges and resiliencies of African American youth. It combines a cultural perspective on the needs of the population with best-practice approaches to interventions. Chapters provide expert insights into sociocultural factors that influence mental health, the prevalence of particular disorders among African American adolescents, ethnically salient assessment and diagnostic methods, and the evidence base for specific models. The information presented in this handbook helps bring the field closer to critical goals: increasing access to treatment, preventing misdiagnosis and over hospitalization, and reducing and ending disparities in research and care. Topics featured in this book include: The epidemiology of mental disorders in African American youth. Culturally relevant diagnosis and assessment of mental illness. Uses of dialectical behavioral therapy and interpersonal therapy. Community approaches to promoting positive mental health and psychosocial well-being. Culturally relevant psychopharmacology. Future directions for the field. The Handbook of Mental Health in African American Youth is a must-have resource for researchers, professors, and graduate students as well as clinicians and related professionals in child and school psychology, public health, family studies, child and adolescent psychiatry, family medicine, and social work.

Bridging the Evidence Gap in Obesity Prevention

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309149894
Total Pages : 336 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Bridging the Evidence Gap in Obesity Prevention by : Institute of Medicine

Download or read book Bridging the Evidence Gap in Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-24 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Perceptions and Concerns of Healthy Eating in Low-income African American Mothers of Preschoolers

Author : Lauren Porter
Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (956 download)

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Book Synopsis Perceptions and Concerns of Healthy Eating in Low-income African American Mothers of Preschoolers by : Lauren Porter

Download or read book Perceptions and Concerns of Healthy Eating in Low-income African American Mothers of Preschoolers written by Lauren Porter and published by . This book was released on 2015 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Health disparities are prevalent in the U.S, with low-income African American children suffering from higher rates of obesity and chronic diseases compared to White children. Currently, little is known about parental perceptions of healthy eating, and concerns related to child health and weight in this at-risk population. The main purpose of this study was to examine perceptions, motivating factors and barriers to healthier eating in a sample of low-income African American parents of 3-5 year old children. The second purpose was to assess parental concerns about health and/or weight and to examine the accuracy of parental perceptions of child weight status. Participants were recruited from Head Start Programs in North Carolina. The Social Cognitive Theory constructs guided focus groups and a survey administered to the participants. Content analysis of 8 focus groups generated the following themes: 1) lack of nutrition knowledge and misconceptions; 2) healthy meals are home-cooked, include meat and starch; 3) family members, lack of maternal modeling, and child pickiness are main barriers to healthier eating; 4) strong awareness of family history of chronic disease, including obesity; 5) lack of concern about child's current weight. Over 25% of mothers underestimated their child's weight status. Our findings highlight important maternal perspectives influencing children's diet quality and long-term health outcomes among low-income at-risk preschoolers. Nutrition educators should be aware that low-income African American mothers may be aware of chronic disease risks, but do not perceive food choices in early childhood as having strong impact on the child's future health."--Abstract from author supplied metadata.